Laserfiche WebLink
SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTOT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0027281 <br /> Facility ID FA0015749 <br /> Date Printed 2/28/2014 <br /> ADAMS, DAVID RE : ADAMS AUTOMOTIVE <br /> ADAMS AUTOMOTIVE 1624 E ALPINE AVE <br /> STOCKTON, CA 95205 <br /> Tr1/`vr <br /> OWNER : ADAMS, DAVID <br /> Health <br /> Dale Program Description Anwwri <br /> Invoice# IN0249078---Date of Invoice: 113012014 IIIIIIIIIIIVIIVIVIIIVIIIIIIIIIIVII VIIVIIIIIIIIII VIII IIII IIII <br /> 1/30/2014 1920 HMBP-Common Materials $ 100.00 <br /> 1/30/2014 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> �y <br /> @�g Total for this Invoice $ 348.00 <br /> SE(CM N1 <br /> IN®TIC Payment Due Date 3/112014 <br /> VVV V TOTAL DUE this Billing Period $ 348.00 <br /> RECEIVED <br /> /V,tLi Actoi APR 09 2014 <br /> 8so � w1 mx � + �TM0�EAkTML <br /> C�— <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For HMBP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />